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adults with diabetes warrants further investigation, the existing literature has provided a basis for Anderson (1996) and others to offer preliminary guidelines for clinical interactions with patients and their support systems: (a) Social support should be individually de ned for each patient within each family system; (b) support is dynamic and changes over time as the patient and family grow and change; (c) at times, it must be recognized that in families with dysfunctional interaction patterns, successful family involvement may not be feasible; and (d) assistance should be provided to patients in determining the amount and types of social support that would be bene cial to them (Boehm et al, 1997) Systematic empirical treatment ef cacy studies focusing on social support in adults are needed Research has highlighted the importance of social and especially family support in the management of diabetes.

For the antisocial and schizotypal personality disorders, then, we cannot argue that the features describe a self-protective interpersonal motive that leads to strategies for satisfying the motive, or reactions when the motive is frustrated Therefore, these two categories seem to be qualitatively different from the other eight personality disorders This kind of heterogeneity has been discussed by McWilliams (1998) In summary, most personality disorders highlight an important interpersonal motive: to connect with other people by getting attention ( histrionic), to connect as a way of avoiding helplessness (dependent), to get admiration from other people (narcissistic), to keep other people at a distance (schizoid), to avoid feeling abandoned ( borderline), to avoid contact with people who might reject or disapprove (avoidant), to defend oneself against the malice of others (paranoid), and to avoid criticism so as to maintain approval from others and from the self (obsessive-compulsive).

A restaurant manager has received a bonus for each of the past five years based on increases in sales revenue that have averaged about 5 percent over the previous year. The restaurant owner asked to have the sales revenue figures for the last five years adjusted for inflation and the manager has an accountant adjust the figures. On reviewing the results, the manager notices that sales revenues have remained virtually flat and in one year, sales revenues actually declined slightly. Before submitting the adjusted figures to the owner, the manager decides to change them to show that sales revenue increases averaged approximately 3 percent a year. By changing the adjusted figures, the manager hopes to show the owner the annual bonuses were justified. Discuss the ethics of this situation.

Clinicians sometimes speak of a maladaptive interpersonal pattern in describing the personality disorders (eg, Benjamin, 1996; Carson, 1969; Kiesler, 1983, 1996; Leary, 1957; McLemore & Brokaw, 1987; Pincus & Wiggins, 1990; Strupp & Binder, 1984; Sullivan, 1953) That term is generally used to highlight the person s self-defeating interpersonal behavior Our model attempts to highlight specific ways in which the person s behavior is maladaptive For one, when a person meets the criteria for a personality disorder, the behavioral strategies for satisfying the interpersonal motive are not working For example, a behavioral strategy (ambiguous to start with) may backfire: The histrionic person, rather than attracting others, seems manipulative; the obsessive-compulsive person, rather than appearing perfect, seems pedantic; the dependent person, rather than inviting.

Also apparent are the complexities involved in the relationship between social support and a person s ability to adjust to and live with this disease, including the impact of age, gender, race, family developmental stage, and type of diabetes regimen (eg, insulin- vs noninsulin-requiring) More traditional interventions, such as individual, couples, and family therapy, have proven to be bene cial in assisting individuals with communication, assertiveness, and problem-solving skills The potential role of multidisciplinary health care interventions with both individuals and families and the use of technology-based interventions remain to be more fully and rigorously explored in future studies Patient-Practitioner Interactions The traditional biomedical model of care, in which the practitioner is seen as the expert who sets treatment goals and standards, is inappropriate for the demands of daily diabetes care (R Anderson, 1995).

Sub VariantDemo2() MyVar = 123 MsgBox TypeName(MyVar) MyVar = MyVar / 2 MsgBox TypeName(MyVar)

Describe the bene ts and limitations of the card association address veri cation systems (AVS) and card security code (CSC, CVV) programs. Describe the threat freight forwarders have on physical good transactions. De ne reverse lookups and know when they are used. Describe the difference between telephone identi cation, authentication, and veri cation.

Piezo crystals are used in many consumer items besides beepers and microphones. Ceramic record player cartridges use piezos to detect the grooves, piezo transducers vibrating at 2 MHz are the basis of medical ultrasound imaging, and the igniters on fireplace lighters are piezos. There s research on turning piezo crystals into portable power sources. In the future, your sneakers may contain little piezos that generate electricity to power your portable devices.

h 1 1 0 1 1 1 1 1 0 0 1 1 1 0 0 Sums: (ti.1y t1y) (ti.2y t2y) 0.63 0.08 0.02 0.0175 0.0175 0.725 0.18125 0.1230 (Equation 25.40)